The laparoscopic vaginal vault closure is a minimally-invasive-gynaecologic-surgical (MIGS) procedure to close the proximal or top part of the vaginal canal, often following a hysterectomy. The indication is to support the vaginal walls and prevent prolapse.

The model allows you to focus on the closure part of a Hysterectomy, and supports the use of all suture materials and closure methods.

You can use this model several times. 

This module allows the surgeon to perform the final step of a TLH by closing the Vaginal Vault. 

A laparoscopic ovarian cystectomy is a minimally invasive approach to dealing with painful, large and harmful cysts on the ovary. The cysts generally measure 5-7cm, and great care must be taken to preserve the ovary of a pre-menopausal patient. This process includes the careful dissection of the cyst capsule, without damaging the cyst membrane - the aim is to remove the cyst and strip it from the ovary. Once removed, the ovary can be sutured closed, depending on the size and condition of the defect caused by the pathology and procedure. 

On this Inovus model, the surgeon can also perform a salpingostomy and salpingectomy, to get the most out of the model provided. 

If you prefer to have these split up in separte videos, complete the ovarian cystectomy, and go back to the module menu and select the surgery you wish to perform on the same model. 

This model is compatible with ultrasonic devices.

This module allows the surgeon to perform an Ovarian Cystectomy, using careful dissection and manipulation to remove the fluid filled cyst without puncturing it. 

The laparoscopic Myomectomy is a minimally-invasive-gynaecologic-surgical (MIGS) procedure to remove fibroids from the uterus. The fibroids are regularly subserosal, submucosal or intramural. Growths larger than 4cm warrant surgical intervention. 

This model has two fibroids that can be removed during this module - subserosal and subucosal - see their location withing the ‘model anatomy’ section of this page. 

To enhance your experience, consider sourcing instrumentation in line to what you would have in theatre such as specimen removal bags or toothed laparoscopic graspers.

The module allows the surgeon to complete two Myomectomies in one model. One large Submucosal and one Subserosal. 

The laparoscopic salpingectomy is a minimally-invasive-gynaecologic-surgical (MIGS) procedure to remove one or both of the fallopian (uterine) tubes. The indication for the procedure is as part of the hysterectomy. Other indications include complicated ectopic pregnancy, infections, mechanical damage, and to reduce the risk of ovarian cancer.

This model allows you to practice both Salpingostomy and Salpingectomy procedures on one model.If you wish to do so, please ensure you complete the Salpingostomy module FIRST before attempting this module. Once completed, you can also attempt the Pelvic Wall Dissection module, found in the main menu. 

This module allows you to complete a full Salpingectomy, now with enhanced anatomical realism. 

A Laparoscopic Salpingostomy is a procedure that allows you to treat Ectopic Pregnancies. This approach allows the surgeon to spare the Fallopian Tube rather than the conventional approach of a Salpingectomy. This will be done if the patient has a fertility compromising condition, such as a previous salpingectomy. 

This model allows you to practice both Salpingostomy and Salpingectomy procedures on one model.If you wish to do so, please ensure you complete the Salpingostomy module FIRST before attempting this module. Once completed, you can also attempt the Pelvic Wall Dissection module, found in the main menu. 

Use your laparoscopic skills to remove the ectopic pregnancy by performing a Salpingostomy. 

Laparoscopic Adhesiolysis is the surgical approach to releasing adhesions from the abdominal wall and internal organs. 
Adhesions are internal scar tissue which have bound to healthy parts of the abdomen from previous surgeries or conditions such as diverticulitus, endometriosis or pelvic inflammatory disease. 

Left untreated, these adhesions can cause pain and restrict normal function of the organs affected.

Use blunt and sharp dissection to complete this module. 

An appendectomy is a surgical procedure to remove the appendix. The most common reason someone would need an appendectomy is due to appendicitis, which is an inflammation of the appendix. This can lead to acute appendicitis, perforated appendix, appendiceal abscess, chronic appendicitis and as a preventative measure. 

In this module, you will practice the skeletilisation of the appendicular arteries using blunt or sharp dissection of the mesoappendix, ligation of these vessel branches, dissection perpendicular to the appendix, applying ligation and removal of the appendix. 

This model has been produced so you can approach the pathology in any way you wish, no particular method for completion is preferred.

Complete a full Appendectomy on this model, with Appendicular Artery embedded in the Mesoappendix. 

In this module, you will be faced with a portion of small bowel with two pre-cut incisions for repair. You can also make your own incision along the length of the model, add obstructions and attempt in line stapling. 

Small bowel injuries are a frequent occurrence in emergency surgery, and the skills you gain from this module will help other applications of suturing bowel in colorectal, upper GI and bariatric disciplines. 

This model has been designed for multiple uses, and includes a mesh to ensure quality suturing practice can take place.

This model allows you to practice vertical and horizonal enterotomy closures on pre cut defects, as well as creating custom enterotomies. 

A Bowel Anastomosis is a step in a procedure where to ends of dissected bowel are joined together to enable proper bowel function. This may occur during a bowel resection case, or as part of a reversal of ileosomy or reversal of Hartmann’s procedure. 

This model helps you focus on the traditional sutured Anastomosis - an essential skill of any aspiring surgeon. Alternatively, you can staple the model before starting, and over-stich the join - a skill used regularly to achieve haemeostasis and ensure a reliable Anastomosis.

Practise your suturing skills - side by side and end to end anastomosis possible on this model.  

This module allows the use to develop advanced MIGS skills by dissecting into the pelvic side wall to expose and identify the Ureter and Uterine Vessels. 

Task 1 – Grasping and Manipulation. 

Time to complete - 4 minutes. 

Key elements:
Spatial awareness
Pronation and supination
Tatctile feedback 
Smooth performance

The Task: Moving 3 polo mints between 3 posts. 

1. Floor to post using your left hand only 
2. Moving from post 1 to 2 using right hand only with rotation of the polo 
3. Moving from post 2 to 3 transferring from one hand to another in mid-air 
4. Post 3 to the floor passing the mint along the string without toughing the floor

This module focusses on key instrument handling tasks, in line with the LapPass curriculum.

Task 3 – cutting and accurate disc . 

Time to complete - 3 minutes. 

Cutting an accurate circle on the silicone pad, while keeping the dissection within the two perforated lines. 

Essential Elements:
Precision cutting 
Grasping and manipulation 
Traction/counter traction

Notes:
Breaching the perforated lines will result in a fail
Scissors can swapped between hands intermittently

This module allows you to focus on the key skill of cutting laparoscopically. Use precision to complete the task in line with the LapPass curriculum. 

Task 4 – Suturing 

Time to complete - 6 minutes 

Place 2 sutures drawing 2 indented circles together securely under tension. Accepted knots: Szabo, reef knot, surgeons’ knot

Essential Elements:
Loading of needle drivers
Accurate suturing 
Secure knot tying

Focus on your basic suturing skill on this module, in line with the LapPass curriculum. 

Tine to complete - 8 Minutes. 

Tying extracorporeal Roeder knots and placing them to simulate an appendicectomy. 
1. Create and place 3 Roeder knots; two proximal and one distal 
2. Divide the finger (appendix) between the placed knots

Essential Elements: 
Proficiency in tying and placing of Roeder knots
Precision cutting

Notes:
The first loop can be tied and ready before the start of the exercise
Any failed loops must be retied
Inaccurate dissection of the tube will result in a fail

This module allows you to focus in on the key surgical skill of placing surgical loops to ligate anatomy. Intra and extracorporeal techniques are focussed on in line with the LapPass curriculum. 

This module allows the surgeon to practise suturing and the running stich in line with the EMIGS curriculum. 

This module allows the user to practise Intracorporeal knot tying in line with the EMIGS curriculum. 

This module allows the surgeon to complete the EMIGS L3 tasks which focusses on Extracorporeal knot tying. 

This module allows the surgeon to complete the L2 EMIGS task which focusses on the cutting of a pre defined circle on gauze, in line with the EMIGS curriculum. 

This module focusses on the basic grasping and manipulation skills required by the EMIGS curriculum.